Skip to content

An Observational Study on Human Epidermal Growth Factor Receptor (HER) 2 Status of Breast Invasive Carcinoma in Latin American Participants

Epidemiological, Prospective and Observational Study on the HER2 Status in Breast Invasive Carcinomas Assessed by Immunohistochemistry (IHC) and Silver In-situ Hybridization (SISH) in a Sample of Latin-American Patients

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02535026
Enrollment
580
Registered
2015-08-28
Start date
2011-07-31
Completion date
2013-12-31
Last updated
2017-04-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer

Brief summary

This is a descriptive, prospective, observational and epidemiological study on participants recently diagnosed with breast cancer to evaluate the HER2 status by IHC and SISH procedures.

Interventions

None listed

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

\- Anatomopathological samples (surgical specimens or when a surgical sample is not possible, a core needle biopsy may be used) from female participants with a histopathological diagnosis of invasive breast cancer

Exclusion criteria

* Samples whose residual material in the paraffin block(s) is insufficient for neoplasm representation in the procedures in this study * Cancer samples that have received previous chemotherapy treatment

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Human Epidermal Growth Factor Receptor 2 (HER2) Status in Breast Cancer Specimens Using Immunohistochemistry (IHC) and Silver In-Situ Hybridization (SISH) ProceduresBaseline up to 30 monthsHER2 status of the collected tissue samples was determined based on the results obtained from IHC test and SISH procedure. The IHC test gives a score of 0 to 3 positive (+) that measures the amount of HER2 receptor protein on the surface of cells in a breast cancer tissue sample. If the score is 0 to 1+, it's called HER2 negative (-). If the score is 2+, it's called borderline. A score of 3+ is called HER2 positive. Tissue samples which had the IHC score of 2+ (borderline) were re-tested using SISH procedure for confirmation of the HER2 status. Tissue samples with SISH test results + were considered as HER2+. Tissue samples for which HER2 status was not determined were considered as HER2 equivocal.
Percentage of Participants With Different Phenotypes of Breast CancerBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were estrogen receptor (ER) + and/or progesterone receptor (PR) +, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Histological grading was done by Nottingham Histologic Score system based on three factors, a) the amount of gland formation (differentiation), b) the nuclear features (pleomorphism) and c) the mitotic activity. Each of these features is scored from 1-3, and then each score is added to give a final total score ranging from 3-9. The final total score is used to determine the grade in the following way: i) Grade 1 tumors have a score of 3-5, ii) Grade 2 tumors have a score of 6-7, and iii) Grade 3 tumors have a score of 8-9.
Percentage of Participants With Histological Sub-types of Breast CancerBaseline up to 30 monthsHistological subtypes of breast cancer included ductal carcinoma, lobular carcinoma, mucinous carcinoma, mixed carcinoma, metaplastic carcinoma, and others.
Percentage of Participants With ER Status (Positive or Negative) Across Different Age GroupsBaseline up to 30 monthsParticipants were categorized in to following age groups: a) less than (\<) 40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) greater than or equal to (≥) 70 years.
Percentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesBaseline up to 30 monthsNuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.
Percentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular InvasionBaseline up to 30 monthsLymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.
Percentage of Participants With PR Status (Positive or Negative) Across Different Age GroupsBaseline up to 30 monthsParticipants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.
Percentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesBaseline up to 30 monthsNuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.
Percentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular InvasionBaseline up to 30 monthsLymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.
Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age GroupsBaseline up to 30 monthsParticipants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.
Percentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesBaseline up to 30 monthsNuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.
Percentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular InvasionBaseline up to 30 monthsLymphovascular invasion is entering of breast cancer cells in to the lymph or blood/vascular channels.
Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age GroupsBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Participants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.
Percentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Nuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.
Percentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Lymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.
Percentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.
Percentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.
Percentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.
Percentage of Participants With Breast Cancer Phenotypes Among Different Hispanic CountriesBaseline up to 30 monthsBreast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.

Countries

Peru, Uruguay

Participant flow

Participants by arm

ArmCount
Breast Cancer Participants
Breast tissue samples from female participants with a breast cancer diagnosis that underwent an anatomopathological examination of surgical specimens and/or core needle biopsies were considered for analysis in this study.
580
Total580

Baseline characteristics

CharacteristicBreast Cancer Participants
Age, Continuous58 years
Sex: Female, Male
Female
580 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
0 / 0

Outcome results

Primary

Percentage of Participants With Breast Cancer Phenotypes Among Different Hispanic Countries

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Breast Cancer Phenotypes Among Different Hispanic Countries31.9 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Breast Cancer Phenotypes Among Different Hispanic Countries35.0 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Breast Cancer Phenotypes Among Different Hispanic Countries12.1 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Breast Cancer Phenotypes Among Different Hispanic Countries20.9 percentage of participants
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were estrogen receptor (ER) + and/or progesterone receptor (PR) +, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Histological grading was done by Nottingham Histologic Score system based on three factors, a) the amount of gland formation (differentiation), b) the nuclear features (pleomorphism) and c) the mitotic activity. Each of these features is scored from 1-3, and then each score is added to give a final total score ranging from 3-9. The final total score is used to determine the grade in the following way: i) Grade 1 tumors have a score of 3-5, ii) Grade 2 tumors have a score of 6-7, and iii) Grade 3 tumors have a score of 8-9.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype could be identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast CancerLuminal A31.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast CancerLuminal B35 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast CancerTriple Negative20.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast CancerHER2 Enriched12.1 percentage of participants
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Participants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups≥70 years30.6 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups50-59 years19.1 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups<40 years3.3 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups60-69 years25.1 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups40-49 years21.9 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups60-69 years23.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups≥70 years15.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups<40 years10.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups50-59 years28.9 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups40-49 years21.9 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups60-69 years20 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups40-49 years18.6 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups50-59 years38.6 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups≥70 years12.9 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups<40 years10 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups≥70 years22.5 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups50-59 years25.8 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups40-49 years20 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups60-69 years25 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Across Different Age Groups<40 years6.7 percentage of participants
Comparison: Breast cancer phenotypes association with age groups.p-value: =0.003ANOVA
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Based on ER Status

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Positive97.8 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Negative2.2 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Negative4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Positive96 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Positive0 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Negative100 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Positive0 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on ER StatusER Status: Negative100 percentage of participants
Comparison: phenotypes of breast cancer association with ER status.p-value: <0.001ANOVA
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 Status

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Positive0 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Negative100 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Negative77.6 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Positive22.4 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Positive100 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Negative0 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Positive0 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on HER2 StatusHER2 Status: Negative100 percentage of participants
Comparison: phenotypes of breast cancer association with HER2 status.p-value: <0.001ANOVA
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular Invasion

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Lymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionAbsent33 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionPresent67 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionPresent56.7 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionAbsent43.3 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionPresent54.3 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionAbsent45.7 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionAbsent24.2 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Lymphovascular InvasionPresent75.8 percentage of participants
Comparison: phenotypes of breast cancer association with lymphovascular invasion.p-value: =0.001ANOVA
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear Grades

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2. Nuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 280.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 15.5 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 313.7 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 330.8 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 14.0 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 265.2 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 225.7 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 374.3 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 10 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 231.7 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 368.3 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on Nuclear GradesNuclear grade 10 percentage of participants
Comparison: Breast cancer phenotypes association with nuclear grades.p-value: <0.001ANOVA
Primary

Percentage of Participants With Different Phenotypes of Breast Cancer Based on PR Status

Breast cancer phenotypes were classified in to a) Luminal A: tissue samples that were ER+ and/or PR+, HER2-, and either histologic grade 1 or 2; b) Luminal B: tissue samples that were ER+ and/or PR+ and HER2+ or ER+ and/or PR+ and HER2- and histologic grade 3; c) HER2 enriched: tissue samples that were ER-, PR-, and HER2+; d) Triple negative: tissue samples that were negative for ER, PR, and HER2.

Time frame: Baseline up to 30 months

Population: Included all breast cancer tissue samples for which the phenotype was identified.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Positive72.1 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Negative27.9 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Negative23.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Positive76.6 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Positive0 percentage of participants
BC Participants-HER2 Enriched PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Negative100 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Positive0 percentage of participants
BC Participants-Triple Negative PhenotypePercentage of Participants With Different Phenotypes of Breast Cancer Based on PR StatusPR Status: Negative100 percentage of participants
Comparison: Phenotypes of breast cancer association with PR status.p-value: <0.001ANOVA
Primary

Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups

Participants were categorized in to following age groups: a) less than (\<) 40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) greater than or equal to (≥) 70 years.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Across Different Age Groups<40 years9.4 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Across Different Age Groups40-49 years19.7 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Across Different Age Groups60-69 years22.7 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Across Different Age Groups≥70 years18.2 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Across Different Age Groups50-59 years30.0 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups60-69 years24.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups<40 years6.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups40-49 years21.8 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups50-59 years24.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Across Different Age Groups≥70 years23.1 percentage of participants
Comparison: ER status association with age groupsp-value: 0.28Chi-squared
Primary

Percentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular Invasion

Lymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular InvasionPresent69.5 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular InvasionAbsent30.5 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular InvasionPresent60.1 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Based on Lymphovascular InvasionAbsent39.9 percentage of participants
Comparison: ER status association with lymphovascular invasion.p-value: =0.03Chi-squared
Primary

Percentage of Participants With ER Status (Positive or Negative) Based on Nuclear Grades

Nuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 10 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 230 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 370 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 14.8 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 274 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With ER Status (Positive or Negative) Based on Nuclear GradesNuclear grade 321.2 percentage of participants
Comparison: ER status association with nuclear grade.p-value: <0.001Chi-squared
Primary

Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups

Participants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups40-49 years21.8 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups60-69 years23.7 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups50-59 years23.7 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups≥70 years24.0 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups<40 years6.8 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups≥70 years11.3 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups<40 years9.6 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups40-49 years18.3 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups50-59 years36.5 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Across Different Age Groups60-69 years24.3 percentage of participants
Comparison: HER2 status association with age groups.p-value: =0.056ANOVA
Primary

Percentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular Invasion

Lymphovascular invasion is entering of breast cancer cells in to the lymph or blood/vascular channels.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular InvasionPresent65.3 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular InvasionAbsent34.7 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular InvasionPresent57.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Based on Lymphovascular InvasionAbsent42.6 percentage of participants
p-value: =0.129Chi-squared
Primary

Percentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear Grades

Nuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 13.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 262.5 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 333.6 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 10 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 241.7 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With HER2 Status (Positive or Negative) Based on Nuclear GradesNuclear grade 358.3 percentage of participants
Comparison: HER2 status association with nuclear grade.p-value: <0.001Chi-squared
Primary

Percentage of Participants With Histological Sub-types of Breast Cancer

Histological subtypes of breast cancer included ductal carcinoma, lobular carcinoma, mucinous carcinoma, mixed carcinoma, metaplastic carcinoma, and others.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerDuctal carcinoma78.3 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerLobular carcinoma10.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerMucinous carcinoma3.6 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerMixed carcinoma1.2 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerMetaplastic carcinoma1.2 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Histological Sub-types of Breast CancerOthers4.8 percentage of participants
Primary

Percentage of Participants With Human Epidermal Growth Factor Receptor 2 (HER2) Status in Breast Cancer Specimens Using Immunohistochemistry (IHC) and Silver In-Situ Hybridization (SISH) Procedures

HER2 status of the collected tissue samples was determined based on the results obtained from IHC test and SISH procedure. The IHC test gives a score of 0 to 3 positive (+) that measures the amount of HER2 receptor protein on the surface of cells in a breast cancer tissue sample. If the score is 0 to 1+, it's called HER2 negative (-). If the score is 2+, it's called borderline. A score of 3+ is called HER2 positive. Tissue samples which had the IHC score of 2+ (borderline) were re-tested using SISH procedure for confirmation of the HER2 status. Tissue samples with SISH test results + were considered as HER2+. Tissue samples for which HER2 status was not determined were considered as HER2 equivocal.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With Human Epidermal Growth Factor Receptor 2 (HER2) Status in Breast Cancer Specimens Using Immunohistochemistry (IHC) and Silver In-Situ Hybridization (SISH) ProceduresHER2 negative79.1 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Human Epidermal Growth Factor Receptor 2 (HER2) Status in Breast Cancer Specimens Using Immunohistochemistry (IHC) and Silver In-Situ Hybridization (SISH) ProceduresHER2 positive19.8 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With Human Epidermal Growth Factor Receptor 2 (HER2) Status in Breast Cancer Specimens Using Immunohistochemistry (IHC) and Silver In-Situ Hybridization (SISH) ProceduresHER2 equivocal1 percentage of participants
Primary

Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups

Participants were categorized in to following age groups: a) \<40 years, b) 40-49 years, c) 50-59 years, d) 60-69 years, e) ≥70 years.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Across Different Age Groups40-49 years15.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Across Different Age Groups60-69 years26.6 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Across Different Age Groups50-59 years30.7 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Across Different Age Groups≥70 years21.0 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Across Different Age Groups<40 years5.9 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups≥70 years21.7 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups<40 years9.0 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups40-49 years26.2 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups50-59 years22.1 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Across Different Age Groups60-69 years21.0 percentage of participants
Comparison: PR status association with age groupsp-value: =0.004Chi-squared
Primary

Percentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular Invasion

Lymphovascular invasion is entering of breast cancer cells in to the lymph or vascular/blood channels.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples of all participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular InvasionPresent67.9 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular InvasionAbsent32.1 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular InvasionPresent58.8 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Based on Lymphovascular InvasionAbsent41.2 percentage of participants
Comparison: PR status association with lymphovascular invasion.p-value: =0.025ANOVA
Primary

Percentage of Participants With PR Status (Positive or Negative) Based on Nuclear Grades

Nuclear pleomorphism was observed and graded accordingly. Grade 1: Nuclei small with little increase in size in comparison with normal breast epithelial cells, regular outlines, uniform nuclear chromatin, little variation in size; Grade 2: Cells larger than normal with open vesicular nuclei, visible nucleoli, and moderate variability in both size and shape; Grade 3: Vesicular nuclei, often with prominent nucleoli, exhibiting marked variation in size and shape, occasionally with very large and bizarre forms.

Time frame: Baseline up to 30 months

Population: Included breast cancer tissue samples from all participants who were willing to participate in the study.

ArmMeasureGroupValue (NUMBER)
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 12.1 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 244.5 percentage of participants
Breast Cancer ParticipantsPercentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 353.4 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 12.1 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 323.1 percentage of participants
Breast Cancer Participants (ER+)Percentage of Participants With PR Status (Positive or Negative) Based on Nuclear GradesNuclear grade 272.8 percentage of participants
Comparison: PR status association with nuclear grade.p-value: <0.001Chi-squared

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026